Provider Demographics
NPI:1457490344
Name:MIGRANT BENEVOLENT ASSOCIATION INC
Entity Type:Organization
Organization Name:MIGRANT BENEVOLENT ASSOCIATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCLAMB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-525-3655
Mailing Address - Street 1:500 S FAYETTEVILLE ST
Mailing Address - Street 2:
Mailing Address - City:SALEMBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28385-8406
Mailing Address - Country:US
Mailing Address - Phone:910-525-3655
Mailing Address - Fax:910-525-3855
Practice Address - Street 1:500 S FAYETTEVILLE ST
Practice Address - Street 2:
Practice Address - City:SALEMBURG
Practice Address - State:NC
Practice Address - Zip Code:28385-8406
Practice Address - Country:US
Practice Address - Phone:910-525-3655
Practice Address - Fax:910-525-3855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management